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Current Geriatrics Reports

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01-09-2019 | Affective Disorder | Geriatric Psychiatry (S Lehmann, Section Editor)

Integrated Primary and Mental Health Care for Older Adults: Successes, Challenges, and Recommendations

Authors: Manan Gupta, Hana K. Ali, Dana Savo, Michelle Conroy, Kirsten M. Wilkins

Published in: Current Geriatrics Reports | Issue 3/2019

Abstract

Purpose of Review

This review highlights key studies demonstrating the benefits of providing integrated behavioral health care to older adults. We describe the successful implementation of real-world integrated care programs, discuss our own experience with integrated care, and share recommendations from our clinical practice.

Recent Findings

Integrated care increases access to treatment, produces better outcomes for patients, reduces costs, improves the patient experience, and decreases stigma. Despite extensive evidence supporting the effectiveness of integrated care, clinical, organizational, and financial challenges serve as barriers to its widespread implementation.

Summary

Integration of primary and mental health care is a highly effective treatment model for older adults. Suggestions from our practice include regular screenings in primary care for mental health conditions, expanding the role and availability of nurse care managers, judicious allocation of specialty mental health resources, and the ongoing appraisal of new modalities for interdisciplinary clinical collaboration.

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Title: Integrated Primary and Mental Health Care for Older Adults: Successes, Challenges, and Recommendations
Authors: Manan Gupta
Hana K. Ali
Dana Savo
Michelle Conroy
Kirsten M. Wilkins
Publication date: 01-09-2019
Publisher: Springer US
Keywords: Affective Disorder
Care
Affective Disorder
Published in: Current Geriatrics Reports / Issue 3/2019
Electronic ISSN: 2196-7865
DOI: https://doi.org/10.1007/s13670-019-00285-7

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